Health Claim Analyst - Join Central Asia Raya Life Insurance in Jakarta Barat

Central Asia Raya Life Insurance is seeking a Health Claim Analyst to join our dynamic team in Jakarta Barat. This is an exciting opportunity to play a pivotal role in our healthcare insurance operations, where you'll be responsible for analyzing and processing health insurance claims with precision and care.

As a Health Claim Analyst at Central Asia Raya Life Insurance, you'll be part of a team that ensures our customers receive the benefits they are entitled to. You'll work closely with our medical professionals and claims adjusters to verify the validity of claims, ensuring that our processes are compliant with industry regulations and internal policies.

📋 Tanggung Jawab Pekerjaan

• Analyze and process health insurance claims using our in-house claims management system, ensuring accuracy and compliance with industry regulations.
• Conduct thorough investigations into claims, including reviewing medical records, patient histories, and other relevant documentation.
• Collaborate with our medical professionals and claims adjusters to verify the validity of claims and make recommendations for approval or denial.
• Ensure that our claims processing procedures are in line with Central Asia Raya Life Insurance's internal policies and industry standards.
• Provide excellent customer service to policyholders, addressing their inquiries and concerns regarding their claims.
• Monitor and report on key performance indicators (KPIs) related to claims processing, identifying areas for improvement and implementing solutions.
• Stay up-to-date with the latest industry trends, regulations, and best practices in health insurance claims processing.
• Participate in continuous training and professional development opportunities to enhance your skills and knowledge in the field.

🎓 Kualifikasi & Syarat

• Bachelor's degree in a relevant field, such as Health Sciences, Business Administration, or a related discipline.
• Minimum of 3 years of experience in health insurance claims processing or a similar role.
• Strong analytical and problem-solving skills, with the ability to work under pressure and meet tight deadlines.
• Excellent attention to detail and a commitment to accuracy in all aspects of claims processing.
• Proficiency in English and Indonesian languages, both written and spoken.
• Familiarity with health insurance claims management software, such as IBM Watson Health or similar systems.
• Knowledge of Indonesian health insurance regulations and best practices.
• Ability to work collaboratively in a team environment and communicate effectively with colleagues and stakeholders.

🛠️ Keahlian

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